Health Care Quality Management and Outcomes Analysis Copyright ©‚ 2012‚ 2010‚ 2007‚ 2005‚ 2004 by University of Phoenix. All rights reserved. Course Description This course examines the relationships between health care quality and organizational performance management. The student is introduced to the rationale for performance management and the role of the governing body of the health care organization in ensuring compliance with the standards of regulatory and accreditation organizations. Methods
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Continuity of care is improved when nurse practitioners and other advanced practice registered nurses who care for patients in primary care settings can follow their patients and their families when they are admitted to the hospital. Complexities of care‚ coordination of care‚ and transitions into and out of the community during illness require a transparent and logical process that allows providers to gain access to the patients they have cared for and know best. Coordination of care and teamwork
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In 1994 Tennessee began the TennCare program as a way to control Medicaid associated health care costs that were rising at a rapid rate (Baggett‚ Harkey‚ & Alexander‚ 1999). While many other states were going through similar issues at the time‚ Tennessee did something vastly different. TennCare not only aimed at managing healthcare costs‚ it also expanded eligibility and coverage to the uninsured‚ and the uninsurable (Baggett‚ Harkey‚ & Alexander‚ 1999). This was a controversial measure because it
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References: Berkowitz‚ E.N. (2006). Essentials of Health Care Marketing. Sudbury‚ Massachusetts: Jones and Bartlett Publishers. Robert L. Ohsfeldt‚ and Michael A. Morrisey‚ “The Effects of CON Repeal on Medicaid Nursing Home and Long Term Care Expenditures‚” Inquiry 40‚ no. 2 (Summer 2003)‚ pp. 146–157
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Fixes promised by managed care have not materialized. Premiums are rising. Hassles for patients and physicians abound. Nearly 45 million Americans are uninsured. Over the next decade‚ these problems will worsen and new challenges will arise. Although new technology will increase efficiency‚ the cost of new tests and treatments will outweigh the savings. As physicians get better at treating problems‚ they will lengthen patients’ lives and increase the number of people requiring care. As baby boomers
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found within the organizations (Mancini‚ 2015). For much of the healthcare and nursing staff‚ feelings of fear and loss often accompany an acquisition. The management skills and strategies utilized by those in nursing leadership roles contribute to either the success or failure of the assimilated nursing teams within the organization. Evolution of the Issue In 2005 a prominent health care company based on the east coast with offices around the
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their own health plan according to their financial situations with savings account options. After reading this information‚ the reader will have a clearer idea of the options available through health care coverage. Preferred provider organizations (PPOs) are based on membership to a specific health care provisions arrangement. As part of the PPO‚ the provider participates in this arrangement providing patients with services guided by discounted fee-for-service. This type of service is at a discount
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programs are emerging as a way to help decrease the high cost of health care typically associated with chronic illness by coordinating care between the patient and their healthcare provider. By researching how these programs currently being implemented by the third party payer population affect all aspects of a patient’s health‚ the healthcare industry can learn how to effectively reduce costs for both the patient and the care-providing entities of healthcare. There is a multitude of data; both in
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Health Care Providers and Facilities Healthcare reform has been a topic of great interest and a highly debated public issue for the past several years. Opinions are split on the reasons behind growing health care costs and methods to bring healthcare spending back in line. However‚ a consensus has formed surrounding the conviction that drastic changes must be implemented within our healthcare system. Some of these changes include a complete restructure of the payment system for health care providers
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that it has never seen before. The industry is under attack from every possible direction from cost containment‚ HIPAA (Health Insurance Portability & Accountability Act) compliance‚ lack of stability‚ to an uncertain future. After trying various managed care techniques and concepts the onus to contain costs is now on the healthcare consumer. Concepts such as defined contribution mutated into various consumer driven health plans are being touted as the nirvana pill for an aching industry. Medical
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